Summary
Identifies qualified claims and pursues reinsurance and/or second injury fund recoveries. Completes all required reporting.
Description
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Position Purpose: Identifies qualified claims and pursues reinsurance and/or second injury fund recoveries. Completes all required reporting.
Logistics: Planned Administrators Inc. (PAI) – one of BlueCross BlueShield of South Carolina’s subsidiary companies.
Location: This is a part-time position (20-30 hours per week) , typically working 3-4 days per week in either a fully remote or hybrid environment . For hybrid employees, the position is based at 17 Technology Circle, Columbia, SC 29203 .
Sponsorship: This position is not eligible for sponsorship now or in the future.
What You’ll Do:
Identifies claims applicable for Excess Policy (Reinsurance) and SC Second Injury Fund (SIF) reimbursement and secures supporting documentation for submission. Reviews and analyses identified claims, associated medical reports and claims financial data. Is familiar with all reporting requirements and completes all mandated reporting forms. Prepares the claims for presentation as needed to clients, excess carriers and SIF.
Using advanced subject matter expertise; coordinates with Claims Adjusters to identify all claims with potential recovery from reinsurance and SIF.
Documents activities, case action plans, recovery outcomes and maintains an active diary on the claims.
Assists and provides training and guidance to the claims staff on an as needed basis.
Assists management with special projects or other duties as required.
To Qualify for This Position, You'll Need the Following:
Required Education:
Bachelor's
Degree Equivalency:
4 years job related work experience or Associate's and 2 years job related work experience
Required Work Experience:
4 years of area related adjusting experience.
Required Skills and Abilities:
Strong verbal and written communication skills.
Strong interpersonal skills.
Required Software and Tools:
Microsoft Office.
Required Licenses and Certificates:
Valid adjuster's license in required states or ability to acquire within 6 months-if required by resident state's department of insurance.
We Prefer That You Have the Following:
Prior workers compensation experience.
Our Comprehensive Benefits Package Includes the Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our…